Randy William Panzarino, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

35103 Issued in CA

Practice address

33122 Valle Rd
San Juan Capistrano, CA 92675-4859

Phone

(949) 234-5341

NPI assigned

Feb 28, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1851158638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34081 COPPER LANTERN ST APT B",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292613",
            "telephone_number": "321-604-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33122 VALLE RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754859",
            "telephone_number": "949-234-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZARINO",
        "first_name": "RANDY",
        "middle_name": "WILLIAM",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "35103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacques J Palmer, M.D.
• Paloma Incare
• Paloma Medical Group Inc
• Daryna Panchenko
• Lizander Cainap Pandy, D.O.
• Robert R Paredes Sr., MD
• Tina Parsaee
• Partners in Health
• Jay Ashwinbhai Patel, MD
• Stefani Pateryn, DNP, PMHNP-BC, PHN

• Speech-Language Pathologist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.